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基于Delphi法的口服抗凝药物治疗患者知信行问卷研究
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| 篇名： | 基于Delphi法的口服抗凝药物治疗患者知信行问卷研究 |
| TITLE： | Study on the Knowledge-Attitude-Practice questionnaire for patients receiving oral anticoagulant therapy based on the Delphi method |
| 摘要： | 目的 编制一套用于评价口服抗凝药物治疗患者知识、信念、行为的调查问卷。方法以知信行理论为指导，采用文献分析和访谈法设计口服抗凝药物治疗患者知信行初始问卷；采用Delphi法就初始问卷进行专家函询，并围绕专家建议修改问卷，形成最终问卷。结果向18名专家进行两轮函询，每轮函询均发放和回收18份问卷，专家积极系数为100%，专家权威系数为0.94。两轮函询中问卷所有维度、因子、条目的重要性均分均≥4分，变异系数均≤0.25，问卷整体及知识、信念、行为3个维度的肯德尔和谐系数为0.09～0.34（P均＜0.05）。第一轮专家函询后修改4个条目，删除2个条目，新增5个条目；第二轮专家函询后修改10个条目。最终形成的问卷包含知识、信念、行为3个维度，17个问卷因子，40个条目。结论所编制的口服抗凝药物治疗患者知信行问卷的可靠性和科学性均较高，专家意见较一致，可用于评估口服抗凝药物治疗患者的知识、信念、行为现状。 |
| ABSTRACT： | OBJECTIVE To develop a questionnaire of the Knowledge-Attitude-Practice （KAP） for patients receiving oral anticoagulant therapy. METHODS Under the guidance of the theory of KAP， literature analysis and interview method were used to design the initial KAP questionnaire for patients treated with oral anticoagulants. Delphi method was adopted to consult the initial questionnaire and modify the questionnaire based on expert suggestions to form the final questionnaire. RESULTS Two rounds of consultation were conducted with 18 experts， and 18 questionnaires were sent out and recovered in each round， so the positive coefficient of experts was 100%. The expert authority coefficient was 0.94. The average importance scores for all dimensions， factors， and items of the questionnaire in both rounds were ≥4 points. The coefficient of variation was ≤0.25. The Kendall’s concordance coefficient for the overall questionnaire and the three dimensions of knowledge， attitude， and practice ranged from 0.09 to 0.34 （all P＜0.05）. Following the first round of expert consultation， four items were modified， two items were deleted， and five items were added； after the second round of expert consultation， ten items were modified. The final version of the questionnaire included three dimensions （knowledge， attitudes， and practice）， 17 questionnaire factors， and 40 items. CONCLUSIONS The questionnaire has high reliability and scientific validity with relatively concentrated expert opinions. It is suitable for assessing the knowledge， attitudes， and practice status of patients receiving oral anticoagulant therapy. |
| 期刊： | 2024年第35卷第10期 |
| 作者： | 雷筱梅；王娜；凌巧；朱欣婷；邱莎；李代毅；钱妍 |
| AUTHORS： | LEI Xiaomei，WANG Na，LING Qiao，ZHU Xinting，QIU Sha，LI Daiyi，QIAN Yan |
| 关键字： | 口服抗凝药物；华法林；知信行问卷；用药依从性；Delphi法 |
| KEYWORDS： | oral anticoagulant； warfarin； knowledge-attitude-practice questionnaire； medication compliance； Delphi method |
| 阅读数： | 28 次 |
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